			<div class="charge">
				<ul class="headContent" >
						<li style="margin-top: 14px;margin-left:24px;">
							<div>
							<span>日期</span> 
							<input  id="dailyNursing_datebox" name="customerServiceNurse.YearMon" type="month" style="height: 32px; width: 212px; text-align: center"/>
							<!-- <input  id="dailyNursing_datebox" name="customerServiceNurse.YearMon" value='${date()}' class="easyui-datebox theme-textbox-radius"style="height: 32px; width: 212px; text-align: center" /> -->
						</div>
						</li>
						<li style="margin-top: 14px;margin-left:24px;">
							<div>
								<span>姓名</span> 
								
								<input id="flag"  type="hidden"  value="${flag !}">
								<input id="customerIds" name="customer.ids"  type="hidden"  value="${customer.ids !}">
								<input class="easyui-combobox"    style="width:120px;height:32px;"  id="customerName" name="customer.name"  value="${customer.name !}"  
							data-options="
							url:'${cxt!}/bentryRegister/getCusInfo',
							method:'post',
							valueField:'name',
							textField:'name'
							">
							</div>
						</li>
						<li style="margin-left: 30px;">
							<div>
							
								<span>手机号</span>
							<input class="easyui-combobox"     style="width:140px;height:32px;"  id="customerPhone" name="customer.phone"  value="${customer.phone !}"  
							data-options="
							url:'${cxt!}/bentryRegister/getCusInfo',
							method:'post',
							valueField:'phone',
							textField:'phone'
							">
							</div>
						</li>
						<li style="margin-left: 30px;">
							<div>
								<span>会员编号</span>
								
								<input class="easyui-combobox"  style="width:120px;height:32px;"  id="customerHybh" name="customer.hybh"    value="${customer.hybh !}"  
							data-options="
							url:'${cxt!}/bentryRegister/getCusInfo',
							method:'post',
							valueField:'hybh',
							textField:'hybh'
							">
							   
							</div>
						</li>
						
						
						<li style="margin-left: 0px;">
							<div>
								<a href="#" class="easyui-linkbutton" data-options="iconCls:'icon-clear'" style="width:80px"  onclick="clearsj()">清除</a>
							</div>
						</li>
						
					</ul>
			</div>
			
			
		
				
					